Pediatrics Part 3 Flashcards
s/s of pyloric stenosis: (4)
Projectile vomiting
Very hungry
olive-shaped mass in epigastric region
obvious peristalsis
pyloric stenosis dx:
pyloric ultrasound
Tx for pyloric stenosis: (2)
hydration, surgery
What is essential to monitor in this child? (3)
I’s and O’s
daily weight
urine specific gravity
Intussesception s/s (6)
sudden onset cramping abdominal pain inconsolability drawing up knees currant jelly stools
dx for intussusception
barium enema
Hirschsprung’s s/s (3)
constipation
abdominal distention
ribbon-like stools that have a foul smell
treatment for intusseption:
multiple surgeries to give the surgeries time to heal
imperforate anus=
no rectal opening, no meconium
Treatment for inperforate anus:
surgery and post op colostomy bag.
Celiac disease: intolerance to _____
gluten
These patients cannot have:
Rye
Oats
Barley
Wheat
These patients can have: (3)
Rice
Corn
Soy
Dx of pediatric UTI:
Urine specimen
Most accurate means of a urine specimen in kids:
catheterization
Testicular torsion is a surgical _____
emergency
peak onset of this condition is age ___
13
if not dx’d in timely manner, testicular torsion can cause…
loss of testicles
s/s of testicular torsion (4)
discoloration of testicles
unilateral pain of affected testicle
may have n/v
edema
**When caring for a client with a hematologic d/o, always include ________ ________ as part of their plan of care.
pretective isolation
s/s of sickle cell disease: (3)
pain in areas of involvement (clots)
anorexia
exercise intolerance
tx for SCD: (6)
bed rest *** HYDRATION*** analgesics antibx blood transfusions O2
when thinking of leukemia, always remember: (3)
immunosuppression, thrombocytopenia, anemia
Wilm’s tumosr (nephroblastomas) are found where?
kidney
most common presenting sign of wilm’s tumor:
swelling or non-tender mass on one side of abdomen
what do you NOT do to the abdomen if they have this?
palpate it.
A disturbance of the ventricular circulation of the cerebral spinal fluid in the brain and an increase of cranial pressure is known as:
Hydocephalus
s/s of hydrocephalus: (5)
buldging of the anterior fontanel dilated scelp veins depressed eyes irritability and changes in LOC high-pitched cry
tx of hydrocephalus:
insertion of a VP shunt
important assessments and positioning after insertion of a VP shunt: (4, including positioning)
measure the frontal occipital circumfrence
fontanel and cranial suture line assessment
temperature
supine position
what may be the first indicator of a siezure d/o in peds?
deterioration of school work
simple partial seizure means:
without loss pf consciousness with various sensations
complex partial means:
impaired consciousness and may be confused and unable to respond
generalized seizure means:
loss of consciousness
types of generalized seizures: (3)
tonic-clonic
myoclonic
absence (brief loss of consciousness)
dx testing of seizure d/o: (4)
EEG, Ultrasound, CT/X-ray
tx of seizures:
anticonvulsants
how are pinworms spread?
hand to mouth
dxing pinworms?
tape test in AM (when eggs are laid)
name of virus that causes Mono:
epstein barr
what can kids not do with Mono:
play sports-enlarged spleen.
